(STUDENT WILL SUBMIT THIS FORM TOGETHER WITH A COMPLETE TRANSCRIPT TO THE DEPARTMENT CHAIR(S) OF THE DEPARTMENT(S) IN WHICH S/HE HOPES TO GAIN DISTINCTION.)

This form is intended to verify that the student in question is in good standing within the department, and has satisfied any internal requirements which the department has established for "Distinction" in the department.

The signature of the chair is taken as confirming that the student has satisfied such requirements and that the department is willing to give this student "Distinction" if he or she completes an Honors Thesis with an "A" or "H" grade.